Provider Demographics
NPI:1720375694
Name:24 HOURS NON EMERGENCY MEDICAL TRANSPORT LLC
Entity Type:Organization
Organization Name:24 HOURS NON EMERGENCY MEDICAL TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:NEMAT
Authorized Official - Middle Name:U
Authorized Official - Last Name:KHAWAJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-860-0334
Mailing Address - Street 1:546 CEDAR FORK DR
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-9050
Mailing Address - Country:US
Mailing Address - Phone:832-860-0334
Mailing Address - Fax:
Practice Address - Street 1:546 CEDAR FORK DR
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-9050
Practice Address - Country:US
Practice Address - Phone:832-860-0334
Practice Address - Fax:281-554-8482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-29
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10101619343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)